Mona FHIR Implementation Guide
0.4.50648 - ci-build

Mona FHIR Implementation Guide - Local Development build (v0.4.50648). See the Directory of published versions

Resource Profile: Mona Clinical Impression

Defining URL:https://fhir.mona.icu/StructureDefinition/mona-clinical-impression
Version:0.4.50648
Name:MonaClinicalImpression
Title:Mona Clinical Impression
Status:Active as of 2023-01-21T19:50:53+00:00
Definition:

A record of a clinical assessment performed to determine what problem(s) may affect the patient.

Publisher:Clinomic
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

https://fhir.mona.icu/StructureDefinition/mona-clinical-impression

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ClinicalImpression

Summary

Mandatory: 8 elements (1 nested mandatory element)
Must-Support: 3 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element ClinicalImpression.code.coding is sliced based on the value of pattern:$this

This structure is derived from ClinicalImpression

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*ClinicalImpressionA clinical assessment performed when planning treatments and management strategies for a patient
... meta
.... profile S1..1canonical(StructureDefinition)Profiles this resource claims to conform to
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... lastChangedBy 0..1Reference(Practitioner)Last changed by
URL: https://fhir.mona.icu/StructureDefinition/lastChangedBy
.... Slices for coding 1..1CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:ClinicalImpressionTypeCode S1..1CodingCode defined by a terminology system
Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: https://fhir.mona.icu/CodeSystem/mona-clinical-impression-type
...... code 1..1codeSymbol in syntax defined by the system
... encounter 1..1Reference(Encounter)Encounter created as part of
... date 1..1dateTimeWhen the assessment was documented
... assessor 1..1Reference(Practitioner)The clinician performing the assessment
... summary 1..1stringSummary of the assessment

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*ClinicalImpressionA clinical assessment performed when planning treatments and management strategies for a patient
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile SΣ1..1canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... lastChangedBy 0..1Reference(Practitioner)Last changed by
URL: https://fhir.mona.icu/StructureDefinition/lastChangedBy
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier
... status ?!Σ1..1codein-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.

... statusReason 0..1CodeableConceptReason for current status
Binding: (unbound) (example): Codes identifying the reason for the current state of a clinical impression.

... code SΣ1..1CodeableConceptKind of assessment performed
Binding: (unbound) (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..1CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:ClinicalImpressionTypeCode SΣ1..1CodingCode defined by a terminology system

Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: https://fhir.mona.icu/CodeSystem/mona-clinical-impression-type
...... version0..1stringVersion of the system - if relevant
...... code0..1codeSymbol in syntax defined by the system
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... description Σ0..1stringWhy/how the assessment was performed
... subject Σ1..1Reference(Patient | Group)Patient or group assessed
... encounter Σ1..1Reference(Encounter)Encounter created as part of
... effective[x] Σ0..1Time of assessment
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... date Σ1..1dateTimeWhen the assessment was documented
... assessor Σ1..1Reference(Practitioner)The clinician performing the assessment
... previous 0..1Reference(ClinicalImpression)Reference to last assessment
... problem Σ0..*Reference(Condition | AllergyIntolerance)Relevant impressions of patient state
... investigation 0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptA name/code for the set
Binding: InvestigationType (example): A name/code for a set of investigations.

.... item 0..*Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)Record of a specific investigation
... protocol 0..*uriClinical Protocol followed
... summary 1..1stringSummary of the assessment
... finding 0..*BackboneElementPossible or likely findings and diagnoses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... itemCodeableConcept 0..1CodeableConceptWhat was found
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.

.... itemReference 0..1Reference(Condition | Observation | Media)What was found
.... basis 0..1stringWhich investigations support finding
... prognosisCodeableConcept 0..*CodeableConceptEstimate of likely outcome
Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.


... prognosisReference 0..*Reference(RiskAssessment)RiskAssessment expressing likely outcome
... supportingInfo 0..*Reference(Resource)Information supporting the clinical impression
... note 0..*AnnotationComments made about the ClinicalImpression

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*ClinicalImpressionA clinical assessment performed when planning treatments and management strategies for a patient
... meta Σ0..1MetaMetadata about the resource
.... profile Σ1..1canonical(StructureDefinition)Profiles this resource claims to conform to
... code Σ1..1CodeableConceptKind of assessment performed
Binding: (unbound) (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.

.... coding:ClinicalImpressionTypeCode Σ1..1CodingCode defined by a terminology system

Required Pattern: At least the following
..... system1..1uriIdentity of the terminology system
Fixed Value: https://fhir.mona.icu/CodeSystem/mona-clinical-impression-type

doco Documentation for this format

This structure is derived from ClinicalImpression

Summary

Mandatory: 8 elements (1 nested mandatory element)
Must-Support: 3 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element ClinicalImpression.code.coding is sliced based on the value of pattern:$this

Differential View

This structure is derived from ClinicalImpression

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*ClinicalImpressionA clinical assessment performed when planning treatments and management strategies for a patient
... meta
.... profile S1..1canonical(StructureDefinition)Profiles this resource claims to conform to
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... lastChangedBy 0..1Reference(Practitioner)Last changed by
URL: https://fhir.mona.icu/StructureDefinition/lastChangedBy
.... Slices for coding 1..1CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:ClinicalImpressionTypeCode S1..1CodingCode defined by a terminology system
Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: https://fhir.mona.icu/CodeSystem/mona-clinical-impression-type
...... code 1..1codeSymbol in syntax defined by the system
... encounter 1..1Reference(Encounter)Encounter created as part of
... date 1..1dateTimeWhen the assessment was documented
... assessor 1..1Reference(Practitioner)The clinician performing the assessment
... summary 1..1stringSummary of the assessment

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ClinicalImpression 0..*ClinicalImpressionA clinical assessment performed when planning treatments and management strategies for a patient
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile SΣ1..1canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... lastChangedBy 0..1Reference(Practitioner)Last changed by
URL: https://fhir.mona.icu/StructureDefinition/lastChangedBy
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier
... status ?!Σ1..1codein-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.

... statusReason 0..1CodeableConceptReason for current status
Binding: (unbound) (example): Codes identifying the reason for the current state of a clinical impression.

... code SΣ1..1CodeableConceptKind of assessment performed
Binding: (unbound) (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..1CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:ClinicalImpressionTypeCode SΣ1..1CodingCode defined by a terminology system

Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: https://fhir.mona.icu/CodeSystem/mona-clinical-impression-type
...... version0..1stringVersion of the system - if relevant
...... code0..1codeSymbol in syntax defined by the system
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
...... id 0..1stringUnique id for inter-element referencing
...... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... description Σ0..1stringWhy/how the assessment was performed
... subject Σ1..1Reference(Patient | Group)Patient or group assessed
... encounter Σ1..1Reference(Encounter)Encounter created as part of
... effective[x] Σ0..1Time of assessment
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... date Σ1..1dateTimeWhen the assessment was documented
... assessor Σ1..1Reference(Practitioner)The clinician performing the assessment
... previous 0..1Reference(ClinicalImpression)Reference to last assessment
... problem Σ0..*Reference(Condition | AllergyIntolerance)Relevant impressions of patient state
... investigation 0..*BackboneElementOne or more sets of investigations (signs, symptoms, etc.)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptA name/code for the set
Binding: InvestigationType (example): A name/code for a set of investigations.

.... item 0..*Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)Record of a specific investigation
... protocol 0..*uriClinical Protocol followed
... summary 1..1stringSummary of the assessment
... finding 0..*BackboneElementPossible or likely findings and diagnoses
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... itemCodeableConcept 0..1CodeableConceptWhat was found
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.

.... itemReference 0..1Reference(Condition | Observation | Media)What was found
.... basis 0..1stringWhich investigations support finding
... prognosisCodeableConcept 0..*CodeableConceptEstimate of likely outcome
Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.


... prognosisReference 0..*Reference(RiskAssessment)RiskAssessment expressing likely outcome
... supportingInfo 0..*Reference(Resource)Information supporting the clinical impression
... note 0..*AnnotationComments made about the ClinicalImpression

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
ClinicalImpression.meta.securityextensibleAll Security Labels
ClinicalImpression.meta.tagexampleCommonTags
ClinicalImpression.languagepreferredCommonLanguages
Max Binding: AllLanguages
ClinicalImpression.statusrequiredClinicalImpressionStatus
ClinicalImpression.statusReasonexample
ClinicalImpression.codeexample
ClinicalImpression.investigation.codeexampleInvestigationType
ClinicalImpression.finding.itemCodeableConceptexampleCondition/Problem/DiagnosisCodes
ClinicalImpression.prognosisCodeableConceptexampleClinicalImpressionPrognosis

Constraints

IdPathDetailsRequirements
dom-2ClinicalImpressionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3ClinicalImpressionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4ClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5ClinicalImpressionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6ClinicalImpressionA resource should have narrative for robust management
: text.`div`.exists()
ele-1ClinicalImpression.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.meta.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.meta.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.meta.versionIdAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.meta.lastUpdatedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.meta.sourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.meta.profileAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.meta.securityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.meta.tagAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.extension:lastChangedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.extension:lastChangedByMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.code.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.code.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.code.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.code.coding:ClinicalImpressionTypeCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.code.coding:ClinicalImpressionTypeCode.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.code.coding:ClinicalImpressionTypeCode.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.code.coding:ClinicalImpressionTypeCode.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.code.coding:ClinicalImpressionTypeCode.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.code.coding:ClinicalImpressionTypeCode.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.code.coding:ClinicalImpressionTypeCode.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.code.coding:ClinicalImpressionTypeCode.userSelectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.code.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.effective[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.assessorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.previousAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.problemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.investigationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.investigation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.investigation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.investigation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.investigation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.investigation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.investigation.itemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.protocolAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.summaryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.findingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.finding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.finding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.finding.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ClinicalImpression.finding.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ClinicalImpression.finding.itemCodeableConceptAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.finding.itemReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.finding.basisAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.prognosisCodeableConceptAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.prognosisReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.supportingInfoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ClinicalImpression.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())